Incident or not?

Med error? Thats an incident in my facility.

Med error? Thats an incident in my facility.

hmmm.. okay

Well said Trauma. An "incident" is worthless unless there is follow-up and problem-solving.

Yes, it is an incident, and could be considered a med error also. Oxygen is considered a medication in some places because it has to be ordered and it is essential to the patient's well-being.

Because it could have caused serious harm to the patient, it would have been a class-II sentinel event at the hospital where I work.

The O2 was off and it was connected to the green wall port? Or did someone inadvertantly connect it to the yellow ''air'' port on the wall. I've known some cardiologists lose their cool when they see their patients off the oxygen and the patient is admitted for ROMI or MI. Personally, I don't know if I would write up my fellow nurse for this though. Depends on you. Tough call. Was the patient okay after you transferred the patient to ICU? How long was the patient on RA. Most importantly, you'd be working with that same nurse day after day after this incident. Is it worth writing her up? I'm playing devil's advocate...IF the patient turns out okay....personally IMHO I'd leave it be.

Hello,

I would talk to the person about the incident and heck with the incident. We all make mistakes and why is there a port for room air in the er?

Just discuss it in a non-threaten way. Also, Hrt has a point....you do not want to ruin your relationship between you and her/him. Because the er is team work and you do not want people to take sides and the breakdown of the team work. I have seen it happen and it sucks over a misunderstanding.

However, you have to make the best decision for you. You can take our advice and make the decision for you.

Have a great evening,

Buttons

What is a "room air" port? We don't have one of these in the ER I work in.

Could be the ports for vents...green one for 02...yellow for air...then there's also the suction...those are the three ports usually on the wall.

Incident, yes.

Is it an incident? Yes.

Is it a med error? Yes.

Was the patient harmed? Yes.

Question is.......did the patient develop sequlae from the room air?

Siri,

You are tough woman....The patient's sats drop as you would expected due to the wrong port. After given the correct port the sats increased again. Therefore, was the patient harm...yes in the sense of no o2 and sats decrease however no brain damage.

Secondly, o2 is a medication and again wrong port....medication error yes.

Thirdly.....can you write a med error and incident together?

Please explain to me why a discussion about the incident to those involve could not take place of all of the two infarctions?

Ears are wide open.....